Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Uthra Kodiyalam, MD

Individual provider Internal Medicine Physician · NPI 1770545501

Uthra Kodiyalam, MD is an Internal Medicine in Springfield, New Jersey. Qualified in 1992, 34 years ago. Practices with Optum Medical Care of New Jersey PC, a 175-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
34
Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Morris Ave Ste 300
Springfield, NJ 07081-1426
Phone: (973) 379-9601
Fax: (973) 467-6779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA066933 (NJ)

Record details

NPI number1770545501
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESSeptember 2, 2010
Mailing address21 Princeton Dr, New Providence, NJ 07974-1219

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Optum Medical Care Of New Jersey Pc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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